中华护理杂志 ›› 2024, Vol. 59 ›› Issue (5): 610-617.DOI: 10.3761/j.issn.0254-1769.2024.05.015
严雪芹(), 柏素萍(), 刘巧艳, 周芳芳, 阎蕾, 曹云, 包磊, 高婷, 朱梦雪
收稿日期:
2023-03-07
出版日期:
2024-03-10
发布日期:
2024-03-12
通讯作者:
柏素萍,E-mail:370976460@qq.com作者简介:
严雪芹:女,硕士,主管护师,伤口造口失禁专科护士,E-mail:871504926@qq.com
基金资助:
YAN Xueqin(), BAI Suping(), LIU Qiaoyan, ZHOU Fangfang, YAN Lei, CAO Yun, BAO Lei, GAO Ting, ZHU Mengxue
Received:
2023-03-07
Online:
2024-03-10
Published:
2024-03-12
摘要:
目的 检索、评价和总结烧伤后创面瘙痒患者非药物干预的最佳证据。方法 计算机检索UpToDate、BMJ Best Practice、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、英国国家卫生与临床优化研究所网站、加拿大安大略省注册护士协会网站、国际指南协作网、医脉通指南网、Cochrane Library、PubMed、中国知网、万方数据库、国际烧伤协会网站、欧洲烧伤协会网站、美国烧伤协会网站、国际伤口网站和中华医学会烧伤外科学分会网站中关于烧伤后创面瘙痒患者非药物干预的证据,包括临床决策、指南、证据总结、系统评价、专家共识。检索时限为建库至2022年12月1日。指南文献由4名研究人员进行评价,其他文献由2名研究人员进行评价,并根据主题对文献内容进行提取、汇总。结果 共纳入10篇文献,包括临床决策4篇、指南3篇、证据总结3篇,总结出评估、保湿润肤、按摩、压力治疗、皮肤降温、其他措施及健康教育7个方面的22条最佳证据。结论 该研究总结的烧伤后创面瘙痒患者非药物干预的最佳证据,为临床应用提供循证依据。医护人员可结合临床情境、伤口愈合情况及患者意愿,合理应用证据,制订干预方案,减轻患者的瘙痒症状,提升护理质量。
严雪芹, 柏素萍, 刘巧艳, 周芳芳, 阎蕾, 曹云, 包磊, 高婷, 朱梦雪. 烧伤后创面瘙痒患者非药物干预的最佳证据总结[J]. 中华护理杂志, 2024, 59(5): 610-617.
YAN Xueqin, BAI Suping, LIU Qiaoyan, ZHOU Fangfang, YAN Lei, CAO Yun, BAO Lei, GAO Ting, ZHU Mengxue. Best evidence summary of non-pharmacological interventions in post-burn itch[J]. Chinese Journal of Nursing, 2024, 59(5): 610-617.
图1 文献筛选流程 注:JBI为乔安娜布里格斯研究所;NICE为英国国家卫生与临床优化研究所;RNAO为加拿大安大略省注册护士协会;GIN为国际指南协作网;ISBI为国际烧伤协会;EBA为欧洲烧伤协会;ABA为美国烧伤协会。
Figure 1 Flow chart of literature screening
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